Executive Function Skills Spring Camp Statement of Agreement:
Medical Release:
I hereby declare that I am the parent or legal guardian of the above-named child and that the information I have given is accurate.
I give my consent, in the event that all reasonable attempts to contact me or designated persons above have been unsuccessful, For West Coast Centre for Learning personnel to seek treatment by the physician named above, or in the event the preferred practitioner is not available, by another licensed medical professional.
I hereby release and discharge West Coast Centre for Learning, it's agents, employees, and officers, from claims, demands, actions, or judgements which the undersigned ever had, now has or may have against West coast Centre for Learning, it successors, or assigned, for all personal injuries or illness, which the child named above may suffer or incur as a result of the actions of West Coast Centre for Learning or in procuring medical treatment.
I certify that the child named above is in good health and free from and communicable disease or illness. Furthermore, I certify that my child does not have any medical conditions or injuries that would otherwise inhibit or expose them to undue risk or injury in the course of participating in functional fitness during this program. Should my child have any medical condition or injury, I will give written notice to the organizers of this program informing them of the nature of such things so that they can take appropriate measures to minimize risk for my child.
Health & Safety Measures:
The health and safety of our visitors, employees, clients and our fellow tenants, is our number one priority. As such, if your child is sick or showing any flu like symptoms, please keep them home.
Program Placement:
Group placement is determined by clinicians to ensure the program is a good fit for each participant. Acceptance into the program is not guaranteed.
Payment:
Payment is accepted at the time of registration for private paid registrations. Others will be billed to the AFB or designated school. If the program is deemed to not be a good fit at the time of registration by our clinicians, a full refund will be given.
Statement of Understanding:
I have read the program description, policies and information, and procedures of West Coast Centre for the Executive Function Skills Spring Camp Program. I understand and agree with the philosophy and policies; I accept the conditions and terms stated therein. I understand that failure to disclose information may result in the removal of my child from the program.
